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手和前臂广泛开放性损伤的早期治疗附70例报告
引用本文:李维杰,周经悦,张作泳,马鸣山.手和前臂广泛开放性损伤的早期治疗附70例报告[J].宁夏医科大学学报,1984(Z1).
作者姓名:李维杰  周经悦  张作泳  马鸣山
作者单位:宁夏医学院外科学教研室骨科组,宁夏医学院外科学教研室骨科组,宁夏医学院外科学教研室骨科组,宁夏医学院外科学教研室骨科组
摘    要:复杂广泛开放性损伤的早期治疗系外科领域中的一个重要课题。本报告就我们1975—83年收治的70例脱粒机致手、前臂广泛开放性损伤的早期治疗进行分析探讨。70例中,41例严重损伤行腹部带蒂皮瓣植皮,二例以游离皮瓣植皮;余27例为游离植皮。前二者较后者效果好,术后功能恢复满意,并给二期修复创造了良好条件。着重讨论了严格清创术的必要性及闭合伤口乃治疗关键的重要意义,认为腹部带蒂植皮和游离皮瓣植皮是相当满意的治疗方法。

关 键 词:手损伤  前臂损伤

The Early Management of Hand and Forearm Extensive Open Injury:Report of 70 cases
Li waijie Zhou jingyue Zhang Zuoyong Ma Mingshan.The Early Management of Hand and Forearm Extensive Open Injury:Report of 70 cases[J].Journal of Ningxia Medical College,1984(Z1).
Authors:Li waijie Zhou jingyue Zhang Zuoyong Ma Mingshan
Abstract:From year 1975 to 1983,70 cases of hand and forearm extensive open injury due to sheller accident were treated.The early management of such injuries was evaluated.A- mong the 70 cases,41 intricate cases were treated with abdominal pcdicle skin flap,2 with free skin flap and the remaining 27 with free skin graft.The former two pro- cedures were effective for recovery of function as well as creating a good condition for secondary repairing.Strict debridement is necessary,closing of wound strongly stressed. The authors conclude that abdominal pedicle skin flap and free skin flap are quite satisfactory procedures and well worthy recommending.
Keywords:Hand injuries  Forearm injuries
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